Our Services

End of Life Care Navigation and Consulting

    • Certified Hospice and Palliative Care RN dedicated to providing the highest level of expertise in end of life care

    • Guidance in care options and services at home

    • Facilitation of family meetings to support informed decision making

    • Collaboration with client and family to develop an individualized care plan focused on the physical, emotional and spiritual care needs of the client

    • Support and guidance for family caregivers in decision making for the care needs of the client at end of life

    • Education in the use of comfort medications to ensure symptom management

    • Education in communication strategies for clients/families and providers

    • Support and education for caregivers in the home with medication administration, mobility support and comfort care

    • Education on what to expect as illness progresses

    • Crisis planning and support during rapid changes in condition

    • Grief and bereavement support, resources and referrals

    • Serving as a liaison between client/family and healthcare providers

    • Ensuring continuity of care and minimizing fragmentation of care

    • Advocacy for client-centered and value-based care

    • Advocacy to ensure client’s wishes are respected and honored

    • Goals of Care and Advance Directives discussions with clients and families

    • Guidance and education to assist client/family to understand Advance Directives and how to proceed and discuss with providers

End of Life Education & Training

    • Professional ELNEC Training for Nurses, Social Workers, and Professional Caregivers

    • End of Life Care Trainings and Education for home care agencies, ALF’s and other long term care facilities

    • Webinars and in-person training for family caregivers

    • Understanding illness progression

    • Symptom management at home

    • Emotional resilience and coping strategies

    • Communication and advocacy skills

    • Resource guides for navigating end-of-life care at home

    • Tailored presentations to meet the needs of a specific group or program

    • Workshops for clergy, community organizations, and volunteers supporting end-of-life care

Comprehensive RN Care Management

    • Comprehensive in home assessments of health status, functional status and safety

    • Development of an Individualized Care Plan in collaboration with clients, families, and healthcare providers

    • Medication Review to determine the need for structured medication management and oversight

    • Coordination with physicians and other healthcare providers

    • Ongoing monitoring and reassessment to adjust care as needs change

    • Coordinate and communicate with multidisciplinary healthcare teams to ensure continuity of care at home

    • Manage & support with transitions of care between home, hospital or rehab. Discharge planning and follow-up in the home

    • Advocate for and act as a liaison between client/family and health care providers to ensure appropriate services and quality care at home